<form method="post" action="https://moore.dev.fastspot.com/fastspot-test-pages/forms/all-fields/process/" enctype="multipart/form-data" class="form_builder">
<div class="fs-row">
<div class="fs-cell">
<div class="form_builder_required_message">
<p>
<span class="form_builder_required_star">*</span> = required field
</p>
</div>
<div class="form_builder_section_header">
<h2>Section Break</h2>
<p>
Vivamus sagittis lacus vel augue laoreet rutrum faucibus dolor
auctor. Aenean lacinia bibendum nulla sed consectetur. Sed posuere
consectetur est at lobortis. Integer posuere erat a ante venenatis
dapibus posuere velit aliquet.
</p>
</div>
<fieldset id="form_builder_data_2">
<label for="form_builder_field_2">
Single Line Text w/ Max Length
<span class="form_builder_required_star">*</span>
</label>
<input type="text" id="form_builder_field_2" name="form_builder_data_2" class="form_builder_text form_builder_required" value="" placeholder="With a placeholder" maxlength="125" required="" />
</fieldset>
<fieldset id="form_builder_data_3">
<label for="form_builder_field_3">
Paragraph Text <span class="form_builder_required_star">*</span>
</label>
<textarea id="form_builder_field_3" name="form_builder_data_3" class="form_builder_required" placeholder="Placeholder Text" required=""></textarea>
</fieldset>
<fieldset id="form_builder_data_17">
<label for="form_builder_field_13"> File Upload</label>
<input type="file" id="form_builder_field_13" name="form_builder_data_17" class="form_builder_upload" value="">
<div class="form_builder_sublabel"><span id="form_builder_file_size_error_13">Maximum File Size: 1 KB</span></div>
</fieldset>
<fieldset id="form_builder_data_17">
<label for="form_builder_field_13"> File Upload - Required</label>
<input type="file" id="form_builder_field_13" name="form_builder_data_17" class="form_builder_upload form_builder_required" value="">
<div class="form_builder_sublabel"><span id="form_builder_file_size_error_13">Maximum File Size: 1 KB</span></div>
</fieldset>
<fieldset id="form_builder_data_4">
<legend>
Checkboxes
</legend>
<div class="form_builder_checkbox">
<input type="checkbox" id="form_builder_field_4" name="form_builder_data_4[]" value="val1" data-price="0" />
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_4">Option 1</label>
</div>
<div class="form_builder_checkbox">
<input type="checkbox" id="form_builder_field_5" name="form_builder_data_4[]" value="val2" data-price="0" />
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_5">Option 2</label>
</div>
<div class="form_builder_checkbox">
<input type="checkbox" id="form_builder_field_6" name="form_builder_data_4[]" value="val3" data-price="0" />
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_6">Option 3</label>
</div>
</fieldset>
<fieldset id="form_builder_data_4">
<legend>
Checkboxes - Required
</legend>
<div class="form_builder_checkbox">
<input type="checkbox" class="form_builder_required" id="form_builder_field_4" name="form_builder_data_4[]" value="val1" data-price="0" />
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_4">Option 1</label>
</div>
<div class="form_builder_checkbox">
<input type="checkbox" class="form_builder_required" id="form_builder_field_5" name="form_builder_data_4[]" value="val2" data-price="0" />
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_5">Option 2</label>
</div>
<div class="form_builder_checkbox">
<input type="checkbox" class="form_builder_required" id="form_builder_field_6" name="form_builder_data_4[]" value="val3" data-price="0" />
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_6">Option 3</label>
</div>
</fieldset>
<fieldset id="form_builder_data_5">
<legend>
Radio Buttons
</legend>
<div class="form_builder_radio">
<input type="radio" id="form_builder_field_8" name="form_builder_data_5" value="val1" data-price="0" />
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_8">Option 1</label>
</div>
<div class="form_builder_radio">
<input type="radio" id="form_builder_field_9" name="form_builder_data_5" value="val2" data-price="0" />
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_9">Option 2</label>
</div>
<div class="form_builder_radio">
<input type="radio" id="form_builder_field_10" name="form_builder_data_5" value="val3" data-price="0" />
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_10">Option 3</label>
</div>
</fieldset>
<fieldset id="form_builder_data_5">
<legend>
Radio Buttons - Required
</legend>
<div class="form_builder_radio">
<input type="radio" class="form_builder_required" id="form_builder_field_8" name="form_builder_data_5" value="val1" data-price="0" />
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_8">Option 1</label>
</div>
<div class="form_builder_radio">
<input type="radio" class="form_builder_required" id="form_builder_field_9" name="form_builder_data_5" value="val2" data-price="0" />
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_9">Option 2</label>
</div>
<div class="form_builder_radio">
<input type="radio" class="form_builder_required" id="form_builder_field_10" name="form_builder_data_5" value="val3" data-price="0" />
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_10">Option 3</label>
</div>
</fieldset>
<fieldset id="form_builder_data_6">
<label for="form_builder_field_12"> Dropdown List</label>
<div class="form_builder_select">
<select id="form_builder_field_12" name="form_builder_data_6">
<option value="val1" data-price="0">Option 1</option>
<option value="val2" data-price="0">Option 2</option>
<option value="val3" data-price="0">Option 3</option>
</select>
</div>
</fieldset>
<fieldset id="form_builder_data_6">
<label for="form_builder_field_12"> Dropdown List - Required</label>
<div class="form_builder_select">
<select id="form_builder_field_12" class="form_builder_required" name="form_builder_data_6">
<option value="val1" data-price="0">Option 1</option>
<option value="val2" data-price="0">Option 2</option>
<option value="val3" data-price="0">Option 3</option>
</select>
</div>
</fieldset>
<script>
document.getElementById(
"form_builder_field_13"
).onchange = function() {
if (this.files[0].size > 1500000) {
this.className =
this.className.replace("form_builder_error", "") +
" form_builder_error";
this.value = "";
document.getElementById(
"form_builder_file_size_error_13"
).className = "form_builder_file_size_error";
} else {
this.className = this.className.replace(
"form_builder_error",
""
);
document.getElementById(
"form_builder_file_size_error_13"
).className = "";
}
};
</script>
<fieldset id="form_builder_data_8">
<legend for="form_builder_field_14">
Name
</legend>
<div class="form_builder_wrap">
<div class="form_builder_firstname">
<input type="text" name="form_builder_data_8[first]" id="form_builder_field_14" class="form_builder_text" value="" autocomplete="section-name given-name" />
<label for="form_builder_field_14" class="form_builder_sublabel">First</label>
</div>
<div class="form_builder_lastname">
<input type="text" name="form_builder_data_8[last]" id="form_builder_field_15" class="form_builder_text" value="" autocomplete="section-name family-name" />
<label for="form_builder_field_15" class="form_builder_sublabel">Last</label>
</div>
</div>
</fieldset>
<fieldset id="form_builder_data_9">
<legend for="form_builder_field_16">
Date
</legend>
<div class="form_builder_date_2">
<input type="text" maxlength="2" name="form_builder_data_9[month]" id="form_builder_field_16" class="form_builder_text" value="" />
<label for="form_builder_field_16" class="form_builder_sublabel form_builder_centered">MM</label>
</div>
<div class="form_builder_date_2">
<input type="text" maxlength="2" name="form_builder_data_9[day]" id="form_builder_field_17" class="form_builder_text" value="" />
<label for="form_builder_field_17" class="form_builder_sublabel form_builder_centered">DD</label>
</div>
<div class="form_builder_date_4">
<input type="text" maxlength="4" name="form_builder_data_9[year]" id="form_builder_field_18" class="form_builder_text" value="" />
<label for="form_builder_field_18" class="form_builder_sublabel form_builder_centered">YYYY</label>
</div>
</fieldset>
<fieldset class="form_builder_address" id="form_builder_data_10">
<legend for="form_builder_field_19">
Address
</legend>
<div class="form_builder_full">
<input type="text" name="form_builder_data_10[street]" id="form_builder_field_19" class="form_builder_text" value="" autocomplete="section-address address-line1" />
<label for="form_builder_field_19" class="form_builder_sublabel">Street Address</label>
</div>
<div class="form_builder_full">
<input type="text" name="form_builder_data_10[street2]" id="form_builder_field_20" class="form_builder_text" value="" autocomplete="section-address address-line2" />
<label for="form_builder_field_20" class="form_builder_sublabel">Street Address Line 2</label>
</div>
<div class="form_builder_split">
<input type="text" name="form_builder_data_10[city]" id="form_builder_field_21" class="form_builder_text" value="" autocomplete="section-address address-level2" />
<label for="form_builder_field_21" class="form_builder_sublabel">City</label>
</div>
<div class="form_builder_split form_builder_split_last_col">
<input type="text" name="form_builder_data_10[state]" id="form_builder_field_22" class="form_builder_text" value="" autocomplete="section-address address-level1" />
<label for="form_builder_field_22" class="form_builder_sublabel">State / Province / Region</label>
</div>
<div class="form_builder_split form_builder_split_last_row">
<input type="text" name="form_builder_data_10[zip]" id="form_builder_field_23" class="form_builder_text" value="" autocomplete="section-address postal-code" />
<label for="form_builder_field_23" class="form_builder_sublabel">Postal / Zip Code</label>
</div>
<div class="form_builder_split form_builder_split_last_row form_builder_split_last_col">
<input type="text" name="form_builder_data_10[country]" id="form_builder_field_24" class="form_builder_text" value="United States" autocomplete="section-address country-name" />
<label for="form_builder_field_24" class="form_builder_sublabel">Country</label>
</div>
</fieldset>
<fieldset id="form_builder_data_11">
<label for="form_builder_field_25"> Email Address </label>
<input type="email" id="form_builder_field_25" name="form_builder_data_11" class="form_builder_text form_builder_email" value="" autocomplete="section-email-address email" />
</fieldset>
<fieldset id="form_builder_data_12">
<label for="form_builder_field_26"> Website </label>
<input type="url" id="form_builder_field_26" name="form_builder_data_12" class="form_builder_text form_builder_url" value="" autocomplete="section-website url" />
</fieldset>
<fieldset id="form_builder_data_13">
<legend for="form_builder_field_27">
Phone Number
</legend>
<div class="form_builder_wrap">
<div class="form_builder_phone_3">
<input type="text" maxlength="3" name="form_builder_data_13[first]" id="form_builder_field_27" class="form_builder_text" value="" autocomplete="section-phone-number tel-area-code" />
<label for="form_builder_field_27" class="form_builder_sublabel form_builder_centered">###</label>
</div>
<div class="form_builder_phone_3">
<input type="text" maxlength="3" name="form_builder_data_13[second]" id="form_builder_field_28" class="form_builder_text" value="" autocomplete="section-phone-number tel-local-prefix" />
<label for="form_builder_field_28" class="form_builder_sublabel form_builder_centered">###</label>
</div>
<div class="form_builder_phone_4">
<input type="text" maxlength="4" name="form_builder_data_13[third]" id="form_builder_field_29" class="form_builder_text" value="" autocomplete="section-phone-number tel-local-suffix" />
<label for="form_builder_field_29" class="form_builder_sublabel form_builder_centered">####</label>
</div>
</div>
</fieldset>
<div class="form_builder_submit_wrapper">
<div class="form_builder_submit_pill">
<input type="submit" class="form_builder_submit" value="Submit Form" />
<span class="form_builder_submit_icon">
<svg class="icon icon_caret_right">
<use href="/images/icons.svg#caret_right" />
</svg>
</span>
</div>
</div>
<div class="form_builder_reset_wrapper">
<div class="form_builder_reset_pill">
<input type="reset" class="form_builder_reset" value="Reset Form" />
<span class="form_builder_reset_icon">
<svg class="icon icon_reset">
<use href="/images/icons.svg#reset" />
</svg>
</span>
</div>
</div>
</div>
</div>
</form>
<form
method="post"
action="https://moore.dev.fastspot.com/fastspot-test-pages/forms/all-fields/process/"
enctype="multipart/form-data"
class="form_builder"
>
<div class="fs-row">
<div class="fs-cell">
<div class="form_builder_required_message">
<p>
<span class="form_builder_required_star">*</span> = required field
</p>
</div>
<div class="form_builder_section_header">
<h2>Section Break</h2>
<p>
Vivamus sagittis lacus vel augue laoreet rutrum faucibus dolor
auctor. Aenean lacinia bibendum nulla sed consectetur. Sed posuere
consectetur est at lobortis. Integer posuere erat a ante venenatis
dapibus posuere velit aliquet.
</p>
</div>
<fieldset id="form_builder_data_2">
<label for="form_builder_field_2">
Single Line Text w/ Max Length
<span class="form_builder_required_star">*</span>
</label>
<input
type="text"
id="form_builder_field_2"
name="form_builder_data_2"
class="form_builder_text form_builder_required"
value=""
placeholder="With a placeholder"
maxlength="125"
required=""
/>
</fieldset>
<fieldset id="form_builder_data_3">
<label for="form_builder_field_3">
Paragraph Text <span class="form_builder_required_star">*</span>
</label>
<textarea
id="form_builder_field_3"
name="form_builder_data_3"
class="form_builder_required"
placeholder="Placeholder Text"
required=""
></textarea>
</fieldset>
<fieldset id="form_builder_data_17">
<label for="form_builder_field_13"> File Upload</label>
<input type="file" id="form_builder_field_13" name="form_builder_data_17" class="form_builder_upload" value="">
<div class="form_builder_sublabel"><span id="form_builder_file_size_error_13">Maximum File Size: 1 KB</span></div>
</fieldset>
<fieldset id="form_builder_data_17">
<label for="form_builder_field_13"> File Upload - Required</label>
<input type="file" id="form_builder_field_13" name="form_builder_data_17" class="form_builder_upload form_builder_required" value="">
<div class="form_builder_sublabel"><span id="form_builder_file_size_error_13">Maximum File Size: 1 KB</span></div>
</fieldset>
<fieldset id="form_builder_data_4">
<legend>
Checkboxes
</legend>
<div class="form_builder_checkbox">
<input
type="checkbox"
id="form_builder_field_4"
name="form_builder_data_4[]"
value="val1"
data-price="0"
/>
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_4"
>Option 1</label
>
</div>
<div class="form_builder_checkbox">
<input
type="checkbox"
id="form_builder_field_5"
name="form_builder_data_4[]"
value="val2"
data-price="0"
/>
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_5"
>Option 2</label
>
</div>
<div class="form_builder_checkbox">
<input
type="checkbox"
id="form_builder_field_6"
name="form_builder_data_4[]"
value="val3"
data-price="0"
/>
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_6"
>Option 3</label
>
</div>
</fieldset>
<fieldset id="form_builder_data_4">
<legend>
Checkboxes - Required
</legend>
<div class="form_builder_checkbox">
<input
type="checkbox"
class="form_builder_required"
id="form_builder_field_4"
name="form_builder_data_4[]"
value="val1"
data-price="0"
/>
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_4"
>Option 1</label
>
</div>
<div class="form_builder_checkbox">
<input
type="checkbox"
class="form_builder_required"
id="form_builder_field_5"
name="form_builder_data_4[]"
value="val2"
data-price="0"
/>
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_5"
>Option 2</label
>
</div>
<div class="form_builder_checkbox">
<input
type="checkbox"
class="form_builder_required"
id="form_builder_field_6"
name="form_builder_data_4[]"
value="val3"
data-price="0"
/>
<span class="form_builder_checkbox_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_6"
>Option 3</label
>
</div>
</fieldset>
<fieldset id="form_builder_data_5">
<legend>
Radio Buttons
</legend>
<div class="form_builder_radio">
<input
type="radio"
id="form_builder_field_8"
name="form_builder_data_5"
value="val1"
data-price="0"
/>
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_8"
>Option 1</label
>
</div>
<div class="form_builder_radio">
<input
type="radio"
id="form_builder_field_9"
name="form_builder_data_5"
value="val2"
data-price="0"
/>
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_9"
>Option 2</label
>
</div>
<div class="form_builder_radio">
<input
type="radio"
id="form_builder_field_10"
name="form_builder_data_5"
value="val3"
data-price="0"
/>
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_10"
>Option 3</label
>
</div>
</fieldset>
<fieldset id="form_builder_data_5">
<legend>
Radio Buttons - Required
</legend>
<div class="form_builder_radio">
<input
type="radio"
class="form_builder_required"
id="form_builder_field_8"
name="form_builder_data_5"
value="val1"
data-price="0"
/>
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_8"
>Option 1</label
>
</div>
<div class="form_builder_radio">
<input
type="radio"
class="form_builder_required"
id="form_builder_field_9"
name="form_builder_data_5"
value="val2"
data-price="0"
/>
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_9"
>Option 2</label
>
</div>
<div class="form_builder_radio">
<input
type="radio"
class="form_builder_required"
id="form_builder_field_10"
name="form_builder_data_5"
value="val3"
data-price="0"
/>
<span class="form_builder_radio_indicator"></span>
<label class="form_builder_for_checkbox" for="form_builder_field_10"
>Option 3</label
>
</div>
</fieldset>
<fieldset id="form_builder_data_6">
<label for="form_builder_field_12"> Dropdown List</label>
<div class="form_builder_select">
<select id="form_builder_field_12" name="form_builder_data_6">
<option value="val1" data-price="0">Option 1</option>
<option value="val2" data-price="0">Option 2</option>
<option value="val3" data-price="0">Option 3</option>
</select>
</div>
</fieldset>
<fieldset id="form_builder_data_6">
<label for="form_builder_field_12"> Dropdown List - Required</label>
<div class="form_builder_select">
<select id="form_builder_field_12" class="form_builder_required" name="form_builder_data_6">
<option value="val1" data-price="0">Option 1</option>
<option value="val2" data-price="0">Option 2</option>
<option value="val3" data-price="0">Option 3</option>
</select>
</div>
</fieldset>
<script>
document.getElementById(
"form_builder_field_13"
).onchange = function () {
if (this.files[0].size > 1500000) {
this.className =
this.className.replace("form_builder_error", "") +
" form_builder_error";
this.value = "";
document.getElementById(
"form_builder_file_size_error_13"
).className = "form_builder_file_size_error";
} else {
this.className = this.className.replace(
"form_builder_error",
""
);
document.getElementById(
"form_builder_file_size_error_13"
).className = "";
}
};
</script>
<fieldset id="form_builder_data_8">
<legend for="form_builder_field_14">
Name
</legend>
<div class="form_builder_wrap">
<div class="form_builder_firstname">
<input
type="text"
name="form_builder_data_8[first]"
id="form_builder_field_14"
class="form_builder_text"
value=""
autocomplete="section-name given-name"
/>
<label for="form_builder_field_14" class="form_builder_sublabel"
>First</label
>
</div>
<div class="form_builder_lastname">
<input
type="text"
name="form_builder_data_8[last]"
id="form_builder_field_15"
class="form_builder_text"
value=""
autocomplete="section-name family-name"
/>
<label for="form_builder_field_15" class="form_builder_sublabel"
>Last</label
>
</div>
</div>
</fieldset>
<fieldset id="form_builder_data_9">
<legend for="form_builder_field_16">
Date
</legend>
<div class="form_builder_date_2">
<input
type="text"
maxlength="2"
name="form_builder_data_9[month]"
id="form_builder_field_16"
class="form_builder_text"
value=""
/>
<label
for="form_builder_field_16"
class="form_builder_sublabel form_builder_centered"
>MM</label
>
</div>
<div class="form_builder_date_2">
<input
type="text"
maxlength="2"
name="form_builder_data_9[day]"
id="form_builder_field_17"
class="form_builder_text"
value=""
/>
<label
for="form_builder_field_17"
class="form_builder_sublabel form_builder_centered"
>DD</label
>
</div>
<div class="form_builder_date_4">
<input
type="text"
maxlength="4"
name="form_builder_data_9[year]"
id="form_builder_field_18"
class="form_builder_text"
value=""
/>
<label
for="form_builder_field_18"
class="form_builder_sublabel form_builder_centered"
>YYYY</label
>
</div>
</fieldset>
<fieldset class="form_builder_address" id="form_builder_data_10">
<legend for="form_builder_field_19">
Address
</legend>
<div class="form_builder_full">
<input
type="text"
name="form_builder_data_10[street]"
id="form_builder_field_19"
class="form_builder_text"
value=""
autocomplete="section-address address-line1"
/>
<label for="form_builder_field_19" class="form_builder_sublabel"
>Street Address</label
>
</div>
<div class="form_builder_full">
<input
type="text"
name="form_builder_data_10[street2]"
id="form_builder_field_20"
class="form_builder_text"
value=""
autocomplete="section-address address-line2"
/>
<label for="form_builder_field_20" class="form_builder_sublabel"
>Street Address Line 2</label
>
</div>
<div class="form_builder_split">
<input
type="text"
name="form_builder_data_10[city]"
id="form_builder_field_21"
class="form_builder_text"
value=""
autocomplete="section-address address-level2"
/>
<label for="form_builder_field_21" class="form_builder_sublabel"
>City</label
>
</div>
<div class="form_builder_split form_builder_split_last_col">
<input
type="text"
name="form_builder_data_10[state]"
id="form_builder_field_22"
class="form_builder_text"
value=""
autocomplete="section-address address-level1"
/>
<label for="form_builder_field_22" class="form_builder_sublabel"
>State / Province / Region</label
>
</div>
<div class="form_builder_split form_builder_split_last_row">
<input
type="text"
name="form_builder_data_10[zip]"
id="form_builder_field_23"
class="form_builder_text"
value=""
autocomplete="section-address postal-code"
/>
<label for="form_builder_field_23" class="form_builder_sublabel"
>Postal / Zip Code</label
>
</div>
<div
class="form_builder_split form_builder_split_last_row form_builder_split_last_col"
>
<input
type="text"
name="form_builder_data_10[country]"
id="form_builder_field_24"
class="form_builder_text"
value="United States"
autocomplete="section-address country-name"
/>
<label for="form_builder_field_24" class="form_builder_sublabel"
>Country</label
>
</div>
</fieldset>
<fieldset id="form_builder_data_11">
<label for="form_builder_field_25"> Email Address </label>
<input
type="email"
id="form_builder_field_25"
name="form_builder_data_11"
class="form_builder_text form_builder_email"
value=""
autocomplete="section-email-address email"
/>
</fieldset>
<fieldset id="form_builder_data_12">
<label for="form_builder_field_26"> Website </label>
<input
type="url"
id="form_builder_field_26"
name="form_builder_data_12"
class="form_builder_text form_builder_url"
value=""
autocomplete="section-website url"
/>
</fieldset>
<fieldset id="form_builder_data_13">
<legend for="form_builder_field_27">
Phone Number
</legend>
<div class="form_builder_wrap">
<div class="form_builder_phone_3">
<input
type="text"
maxlength="3"
name="form_builder_data_13[first]"
id="form_builder_field_27"
class="form_builder_text"
value=""
autocomplete="section-phone-number tel-area-code"
/>
<label
for="form_builder_field_27"
class="form_builder_sublabel form_builder_centered"
>###</label
>
</div>
<div class="form_builder_phone_3">
<input
type="text"
maxlength="3"
name="form_builder_data_13[second]"
id="form_builder_field_28"
class="form_builder_text"
value=""
autocomplete="section-phone-number tel-local-prefix"
/>
<label
for="form_builder_field_28"
class="form_builder_sublabel form_builder_centered"
>###</label
>
</div>
<div class="form_builder_phone_4">
<input
type="text"
maxlength="4"
name="form_builder_data_13[third]"
id="form_builder_field_29"
class="form_builder_text"
value=""
autocomplete="section-phone-number tel-local-suffix"
/>
<label
for="form_builder_field_29"
class="form_builder_sublabel form_builder_centered"
>####</label
>
</div>
</div>
</fieldset>
<div class="form_builder_submit_wrapper">
<div class="form_builder_submit_pill">
<input type="submit" class="form_builder_submit" value="Submit Form" />
<span class="form_builder_submit_icon">{{ icon("caret_right") }}</span>
</div>
</div>
<div class="form_builder_reset_wrapper">
<div class="form_builder_reset_pill">
<input type="reset" class="form_builder_reset" value="Reset Form" />
<span class="form_builder_reset_icon">{{ icon("reset") }}</span>
</div>
</div>
</div>
</div>
</form>
No notes defined.